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Updated: Apr 19, 2026

Fecal Glucocorticoid Analysis: Non-invasive Adrenal Monitoring in Equids
Published on: April 25, 2016
Glucocorticoids regulate the metabolic hormone FGF21 in a feed-forward loop
Rucha Patel1, Angie L Bookout, Lilia Magomedova
1Department of Pharmaceutical Sciences (R.P., L.M., G.P.C., C.L.C.), University of Toronto, Toronto, Ontario, Canada M5S 3M2; Department of Pharmacology and Howard Hughes Medical Institute (A.L.B., B.M.O., M.S., Y.Z., D.J.M.), and Department of Molecular Biology (S.A.K.), University of Texas Southwestern Medical Center, Dallas, Texas 75390; and Banting and Best Diabetes Centre (C.L.C.), Toronto, Ontario, Canada M5G 2C4.
Fibroblast growth factor 21 (FGF21) and glucocorticoids (GCs) form a feed-forward loop, regulating each other
Area of Science:
- Endocrinology
- Metabolic Regulation
- Molecular Biology
Background:
- Fibroblast growth factor 21 (FGF21) and glucocorticoids (GCs) are key regulators of the adaptive starvation response.
- Previous studies indicated FGF21 elevates corticosterone levels in mice via central mechanisms.
- The interaction and reciprocal regulation between FGF21 and GCs were not fully elucidated.
Purpose of the Study:
- To investigate the bidirectional interplay between FGF21 and glucocorticoids in coordinating the starvation response.
- To elucidate the molecular mechanisms underlying GC-mediated regulation of Fgf21 expression.
- To understand how this hormonal axis impacts gluconeogenesis during fasting.
Main Methods:
- Analysis of gene expression in adrenal glands and liver tissues.
- Investigation of hormone secretion in response to hormonal stimulation (ACTH).
- Chromatin immunoprecipitation assays to identify receptor binding sites.
- In vivo and in vitro studies using mouse models and primary hepatocytes.
Main Results:
- FGF21 upregulates genes for GC synthesis and enhances ACTH-stimulated corticosterone secretion.
- GCs directly induce Fgf21 expression in the liver through the glucocorticoid receptor (GR).
- GR binds to a distal enhancer element and cooperates with PPAR-α to drive Fgf21 transcription.
Conclusions:
- FGF21 and GCs engage in a reciprocal feed-forward regulatory loop.
- This interaction bypasses normal negative feedback on the hypothalamic-pituitary-adrenal axis.
- The FGF21-GC axis supports sustained gluconeogenesis during prolonged starvation.
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